The world wide, global and international stakeholders understand the place on the planet and its economic, social and cultural relationships determine the quality of healthcare services offered to people. 

The international public and private partnership conversations are held through the United Nations and specifically link to the Sustainable Development Goals. 

A level 2 SDG refers to the health of each person.

All human rights are dependent on the covenant and declarations being applied at the local levels through an international to national, nation to states and states to local agencies or organizations. 

Target State

A direct funding strategy or awards issued from the international level to work on strategy with nations funding the means of implementation to states and local funding awarded through the same with each having a view and contribution based on these roles suggest the least effort and highest return opportunity. 

Civil Society-Health and Nutrition

• Every person requires healthcare services
• Every person has an opportunity to select the insurance plan of their choice.
• Every persons economic, social and cultural values play a major part in the types of coverage offered and services supplied by public and private sectors. 

Financial - Budget or Expense

Each persons services are funded by public welfare as a debt on the nations tax systems

Each persons services are funded by their employer or as an expense in a business or cooperative. 

Public Sector healthcare options are funded as a debt to the nation.  The federal or national treasury supplies the majority of funds for those in the lowest income populations or those with protected class designations.  

• Disabled-Social Security and Disability with states
• Seniors - Social Security
• Foster Children
• Military - active and retired or reserves including spouses and children
• Native American - TANF
• Immigrant - Refugees

 See California example

Education and Training

Direct Services - Workforce Development

In person direct care must be considered as the personal choice for every person on the planet.

A workforce must be developed to meet the local capacity in both general and specialized medical professional with associated nursing and support personnel who supply the services for private practice, managed services and inpatient or out-patient services.  Short and long term care requirements must be factored and education supplied at a qualified and certified level of care.  

Indirect Services

Terms of Use - Reasonable Persons are not going to have the capacity or capability to translate contractual language supplied in any industry or by public and private partnerships. 

No distribution or channel has the authority to bypass the individuals right to choose and human rights to equal access to quality care. 

All services must be private and protected by international human rights, national civil rights, and local or statewide protections which enhance the before mentioned. 

No state or local government has the authority to override the human and civil rights of each individual. 

Each individual has the sovereign right to choice and equal access to quality care with no harm to planet in any and all locations in the world. 

Business Architecture and Enterprise Architecture Transformation

As the current state to future state requires performance measures we can apply broadly in various environments;

Assumptions - We must apply the current state segmented into three different conversations for the communications, education and value of adoption of an EA/BA model.  

Delivery Organization into a three layer operating model

30-Innovation Transformation

Technology advances have introduced the concept of virtual or indirect care, which every person must agree or accept as an option.  

A hosted service provider model to channels with networks segmented based on known and knowable situations which implies a user centered design with single site maintenance and content delivery structured for information re-use and global standardization. 

20-Change and Improve

GAP - Issues in our current state

Legal Evidence of Arrangement or Prior Informed Consent cannot be granted in a blanket or as a contractual assumption for any user in any technology. 

10-Operations and Running

Day to day operations must be isolated for least disruption and an effective testing strategy using agile approaches with all testing complete before any change or transformation is introduced into the operations while running the healthcare services. 

Laboratories, prescription medication, rehabilitation, in home care out-patient, hospital care in-patient and other facilities and environmental protections from these types of services. 

Technology Transfer-Means of Implementation

A SOA delivery model with users served components or business services packaged for a generic healthcare model. 

Location Based Services - Legal and regulatory Oversight

Public Sector Service Reporting

Proposal prescribes an organized (structured) set of content based services in the target state using a single site at the foundation, with sub-sites organized with child pages or child for nations, child for each nation to organize the statewide messaging and a customized column which maps to the state field based on zip code to state reference data or xml with physical table. 

Content delivery begins with the international to nation conversations. The nation to state content would be published on the nations page with child pages for states to contribute and be notified of any national conversations/meetings etc.

Nations to states conversations are posted on the nation with all children pages assumed to have a natural roll up of information into the nations master file for budgeting.